Calero M D, Navarro E, Robles P, García-Berben T M
Facultad de Psicología, Universidad de Granada, Campus La Cartuja, 18071 Granada.
Neurologia. 2000 Oct;15(8):337-42.
The Mini-Examination Cognitive (MEC) of Lobo et al is widely used as a screening tool for dementia in epidemiological studies and in clinical context for the rapid evaluation of cases in whom there is a suspicion of cognitive deterioriation due to dementia. Nevertheless, the validity analysis in old people have not been accomplished. The objective of this study has been to validate the use of this instrument to detect cognitive deterioration associated with dementia in elderly people.
Ninety-five old people have participated, one group of patients of a Neurology Service and another group of healthy old people. All of them have been evaluated through a neuropsychological exploration protocol and the MEC.
The results show a high validity of this test for the evaluation of the cognitive deterioration in this population, as in the correlation with the neurological tests used as in the ANOVA intergroups (with and without deterioration) executed; they also reflect the influence on the puntuations of variables such as the age and the educational level.
The utility of this procedure for the Spanish population with a low cultural level and the necessity of working with different criteria depending on the age and the educational level of the patients evaluated is shown here.
洛博等人的简易认知检查（MEC）在流行病学研究中被广泛用作痴呆症的筛查工具，在临床环境中用于快速评估疑似因痴呆症导致认知功能减退的病例。然而，尚未对老年人进行效度分析。本研究的目的是验证该工具在检测老年人中与痴呆症相关的认知功能减退方面的应用。
95名老年人参与了研究，一组是神经科服务的患者，另一组是健康的老年人。他们均通过神经心理学探索方案和MEC进行了评估。
结果表明，该测试在评估该人群的认知功能减退方面具有较高的效度，无论是与所使用的神经学测试的相关性，还是在进行的组间方差分析（有和没有功能减退）中；结果还反映了年龄和教育水平等变量对得分的影响。
本研究表明了该程序对于文化水平较低西班牙人群的实用性，以及根据所评估患者的年龄和教育水平采用不同标准的必要性。
